Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial

Abstract Background It has been recognized that oral health education for parents is critical for preventing early childhood caries (ECC). Few parents practiced caries prevention procedures for their children in daily life, though. A novel intervention scheme using mobile messages will be developed...

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Main Authors: Ketian Wang, Gillian Hiu Man Lee, Pei Liu, Xiaoli Gao, Samuel Yeung Shan Wong, May Chun Mei Wong
Format: Article
Language:English
Published: BMC 2022-04-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-022-06208-w
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author Ketian Wang
Gillian Hiu Man Lee
Pei Liu
Xiaoli Gao
Samuel Yeung Shan Wong
May Chun Mei Wong
author_facet Ketian Wang
Gillian Hiu Man Lee
Pei Liu
Xiaoli Gao
Samuel Yeung Shan Wong
May Chun Mei Wong
author_sort Ketian Wang
collection DOAJ
description Abstract Background It has been recognized that oral health education for parents is critical for preventing early childhood caries (ECC). Few parents practiced caries prevention procedures for their children in daily life, though. A novel intervention scheme using mobile messages will be developed in this study under the framework of the health belief model (HBM). The objective of the present randomized clinical trial (RCT) is to evaluate the effectiveness of the new scheme in promoting oral health of young children by reducing dental caries. Methods This RCT will involve 26–36 child care centers or kindergartens with nursery classes (clusters) located in Hong Kong. A total of 518–628 child-parent dyads (child age 18–30 months) will be recruited and randomly allocated at the cluster level into the test or control group with a 1:1 ratio. For parents in the test group, the intervention will consist of a set of HBM-based text messages sent regularly in 48 weeks. A standard text message will be sent to the parents in the control group in the first week. The primary outcome will be dental caries measured by dmft/dmfs of the children after 2 years (around 4 years of age). The secondary outcomes will be toothbtushing and sugar intake. Discussion HBM-based intervention via a low-cost text messaging vehicle may serve as a viable way to empower parents to establish proper oral health behaviors for their children and safeguard the oral health of children in Hong Kong. Trial registration ClinicalTrials.gov NCT04665219 . Registered on 11 December 2020.
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spelling doaj.art-bcce1f6f6fdb4acda24dfb1d094c38bf2022-12-22T02:03:51ZengBMCTrials1745-62152022-04-0123111110.1186/s13063-022-06208-wHealth belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trialKetian Wang0Gillian Hiu Man Lee1Pei Liu2Xiaoli Gao3Samuel Yeung Shan Wong4May Chun Mei Wong5Division of Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong KongDivision of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, The University of Hong KongDivision of Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong KongFaculty of Dentistry, National University of Singapore and Saw Swee Hock School of Public Health, National University of SingaporeJC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongDivision of Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong KongAbstract Background It has been recognized that oral health education for parents is critical for preventing early childhood caries (ECC). Few parents practiced caries prevention procedures for their children in daily life, though. A novel intervention scheme using mobile messages will be developed in this study under the framework of the health belief model (HBM). The objective of the present randomized clinical trial (RCT) is to evaluate the effectiveness of the new scheme in promoting oral health of young children by reducing dental caries. Methods This RCT will involve 26–36 child care centers or kindergartens with nursery classes (clusters) located in Hong Kong. A total of 518–628 child-parent dyads (child age 18–30 months) will be recruited and randomly allocated at the cluster level into the test or control group with a 1:1 ratio. For parents in the test group, the intervention will consist of a set of HBM-based text messages sent regularly in 48 weeks. A standard text message will be sent to the parents in the control group in the first week. The primary outcome will be dental caries measured by dmft/dmfs of the children after 2 years (around 4 years of age). The secondary outcomes will be toothbtushing and sugar intake. Discussion HBM-based intervention via a low-cost text messaging vehicle may serve as a viable way to empower parents to establish proper oral health behaviors for their children and safeguard the oral health of children in Hong Kong. Trial registration ClinicalTrials.gov NCT04665219 . Registered on 11 December 2020.https://doi.org/10.1186/s13063-022-06208-wOral health educationHBMECCRCTmHealth
spellingShingle Ketian Wang
Gillian Hiu Man Lee
Pei Liu
Xiaoli Gao
Samuel Yeung Shan Wong
May Chun Mei Wong
Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
Trials
Oral health education
HBM
ECC
RCT
mHealth
title Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
title_full Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
title_fullStr Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
title_full_unstemmed Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
title_short Health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children—study protocol for a cluster randomized controlled trial
title_sort health belief model for empowering parental toothbrushing and sugar intake control in reducing early childhood caries among young children study protocol for a cluster randomized controlled trial
topic Oral health education
HBM
ECC
RCT
mHealth
url https://doi.org/10.1186/s13063-022-06208-w
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